Characteristics Associated With Perceived Underemployment Among Participants With Spinal Cord Injury.
James S Krause, Clara E Dismuke-Greer, Karla Reed
PMID 36545525WHAT IT FOUND
Among employed people with spinal cord injury, 24.6% perceived themselves as underemployed.
Higher earnings, health benefits, and being married were linked to lower odds of feeling underemployed, while working in sales or management/professional roles was linked to higher odds.
Key findings
01Just under one-fourth of employed participants with spinal cord injury perceived themselves to be underemployed.
02In the full model, higher income levels were associated with significantly lower odds of perceived underemployment compared to the lowest income group.
03Working in sales/office and management/professional occupations was associated with significantly higher odds of perceived underemployment compared to natural resources, construction, and maintenance occupations.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
All data were self-reported, raising concerns about recall bias. Perceived underemployment was measured using a single, non-validated item, which may not capture the complexity of the construct. The cross-sectional design prevents determination of causality or how employment factors change perceptions over time. Selective response bias is possible, as those who feel underemployed may have been more or less likely to participate. The study did not include a general population comparison group to benchmark perceived underemployment rates.
The easy way to misread this
Do not interpret the high odds of perceived underemployment in sales and management roles as evidence that these jobs are objectively poor for people with spinal cord injury. The outcome was based on self-perception, and the study did not measure objective job quality or compare these perceptions to the general population.